Home Care Services

Consumer Protection Act Stakeholders Meeting

February 26, 2016

1

Pam Dickfoss

Deputy Director

Community Care Licensing Division

Evon Lenerd, Chief

Continuing Care Branch

Home Care Services Consumer Protection Act

Implementation Team: Executive Team

2

Kathi Mowers-Moore, Chief

Central Operations Branch

McCaulie Feusahrens, Chief

Home Care Services Bureau

Ayanna Gammel

Manager

Home Care Services Consumer Protection Act

Implementation Team: HCSB

3

Karen Cross

Manager

Jackie Galvin

Manager

Steve David Analyst

Jamie Mason Analyst

Ruben Perez Analyst

Barbora Rejmanek Analyst

Jacqui Gonzalez Analyst

Francina Williams Analyst

Chester Hoang Analyst

Paul Pazirandeh Analyst

Jessica Swol Analyst

Shelby Whedon Analyst

Lindsey Slama Analyst

Sheila Glover Analyst

Matt Lugo Policy Analyst

Carmen

Jasper Support Staff

Margo

Chipman Support Staff

Susan

Love Support Staff

Alejandro

Martin Support Staff

Dorette Pierce, Chief

Caregiver Background Check Bureau

Paul Martinez

Assistant Chief

Terece Williams

Manager

Pallavi #04 Policy Analyst

Home Care Services Consumer Protection Act

Implementation Team: CBCB

4

Wendy #25 Analyst

Cindy #38 Analyst

Rebecca #16 Analyst

Jon #22 Analyst

Hilda #32 Analyst

Meryl #17 Analyst

Sarah Support Staff

Marolyn Support Staff

Objectives

Provide updates on implementation

Provide a summary of the February 12th Conference Call

Preview the Draft Training Log

Provide clarification on timelines

Application submittal timeline

TB Timeline

Training Timeline

Provide clarification on letters received 5

Updates

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Updates

Hiring/Program Changes

Incomplete Letters

HCO Numbers on all communication

HCSB Technical Assistance

HCSB receiving over 550 calls per day

January Calls: 6,400+

February Calls (as of 2/25): 8,900+

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Updates: Statistics

HCO Applications and Intent Forms

Applications Received: 350+

Intent Forms Received: 1,000+

HCA Applications and Intent Spreadsheets

Online Applications Received: 23,000+

Manual Applications Received: 5,500+

Intent Spreadsheets Received: 1,100+

HCAs listed on the spreadsheets 82,000+

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Summary of Conference Call

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Summary of Conference Call

New format for information sharing

Bi-weekly: Conference Call - 2nd Friday of each month

Webinar - 4th Friday of each month

First conference call held on 2/12/16

Provided clarifications and updates on issues

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Conference Call: Updates

HCAs who submitted LiveScan fingerprints prior to

applying

DOJ process change may cause significant delays in

processing some applicants

CBCB continues to work with DOJ to address the concerns

with this process change

Error Batches

Please ensure the numbers and all information on the

LIC 9163 is complete and accurate 11

Conference Call: Updates (cont’d)

Payment Issues

CDSS will issue reimbursements to applicants who were

erroneously charged twice

12

Conference Call: Clarifications

Letters

30 Day Clearance List

Shows individuals that have a cleared DOJ background only

Transfers

Not needed at the time of initial application unless the HCA

has an exemption with CDSS

13

Conference Call: Clarifications (cont’d)

Balance of Workload

Recognize the need for HCOs to bring new HCAs onboard

quickly

Balancing the workload of HCA applicants who were listed on

intent spreadsheets (HCS 500A) and new HCA applicants

Please contact HCSB if issues arise during the application

process so we can work with you - if possible

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Sample Training Log

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Training Log

Per request, HCSB will provide in PDF format (and possibly

excel) for voluntary use

Maintenance of a training log is mandatory; however,

HCOs are not mandated to use the training log provided

by HCSB

HCOs may use any format for the training log they choose

provided the topics outlined in Section 90-067 of the written

directives are covered

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Timeline Clarification

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Application Activity Timeline

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Intent Due Date

Application

Package & Fees

Due Date

Components that need to be

completed by 7/2/2016

Home Care

Organizations

HCS 200A

12/31/2015 3/1/2016

All licensing requirements

(including verification of HCA TB

and Training)

Affiliated Home

Care Aides

HCS 500A

12/31/2015

60 days after

Registry

launches and is

available online

Registration (including completed

background check)

TB Timeline

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Registration Date

2/1/2016

2015 2/1/2014

2 Years Prior

HCAs listed on HCS 500A New HCAs either:

90 days prior or

7 days after (HSC 1796.45)

11/1/2015 2/8/2016

TB Timeframe Example

Training Timeline

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HCAs included on the HCS 500A HCA’s hired after 1/1/16

Entry Level Training

Orientation Waived

• Completed prior to presence with

clients

• Non- transferable

Safety Training

• Due by 7/1/16

• Accepting hours received within

One (1) year from registration

date

• Completed prior to presence with

clients

• Transferable with verification

Annual Training

Annual Training

curriculum

• Due one (1) year from

registration date

• Accepting hours received within

One (1) year from registration

date. (1st year only)

• Due 1 year from registration date

• Transferable with verification

Letter Clarification

21

Exemption Letters - Definitions

Initial Exemptions

All individuals who initially submit fingerprints for HCOs or

the HCA Registry, are not allowed to work until they receive

either a clearance or a criminal record exemption

Subsequent Exemptions

Individuals subsequently convicted for violent crimes or any

felony cannot work during the exemption process

Individuals with convictions for non-violent misdemeanors

are allowed to work during the exemption process

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Exemption Letters

Originally all HCA applicants with convictions were processed

as initial exemptions and the HCOs received letters stating

the HCAs could not work pending the exemption process

HCAs associated with HCOs who submitted HCA Intent

forms

HCAs associated to these HCOs are allowed to work pending the

exemption process if the conviction is for a non-violent

misdemeanor

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Exemption Letters (cont’d)

Effective February 1, 2016, CBCB began processing these

exemptions as subsequents

If a HCO received an exemption letter for a HCA before

February 1, 2016, stating that the HCA could not work,

please contact the exemption analyst listed on the

exemption letter to confirm whether the HCA can work

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DOJ Clearance Letters

DOJ sends clearance letters to HCOs if they are identified

on the Livescan form

This clearance letter does not allow the individual to work

or be on the Registry

In addition to the DOJ clearance HCA applications must be

approved and payment must be made

The DOJ clearance is not an FBI clearance

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Questions & Answers

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References

Home Care Services Bureau

http://www.ccld.ca.gov/PG3654.htm

Caregiver Background Check Bureau

http://www.ccld.ca.gov/PG399.htm

Health and Safety Code

http://leginfo.legislature.ca.gov/faces/codes_displayexpandedbranch.xhtml

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Acronyms Acronym Term

AB Assembly Bill

CBCB Caregiver Background Check Bureau

CCLD Community Care Licensing Division

CDPH California Department of Public Health

CDSS California Department of Social Services

DDS Department of Developmental Services (California)

DOJ Department of Justice (California)

DRA Domestic Referral Agency

EM Evaluator Manual

FAQ Frequently Asked Questions

H&SC Health and Safety Code

HCA Home Care Aide

HCO Home Care Organization

HCS Home Care Services

HCSB Home Care Services Bureau

HCSCPA Home Care Services Consumer Protection Act

IHSS In Home Supportive Services

LPA Licensing Program Analyst

RO Regional Office

SB Senate Bill

TL TrustLine 33

Contact Us For more information regarding the Home Care Services

Consumer Protection Act, please contact the Home Care

Services Bureau by e-mail at HCSB@dss.ca.gov or by

telephone at (916) 657-3570 or 877-424-5778.

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